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All Journal Jurnal Kebidanan Proceedings of the International Conference on Applied Science and Health International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Riset Informasi Kesehatan Jurnal Akademika Baiturrahim Jambi

Melyana Nurul Widyawati

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Author-ID : 2900148

Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA Ni Putu Dian Ayu Anggraeni; Lucky Herawati; Melyana Nurul Widyawati
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 3 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Sub uterine involution is one of the pathological symptoms of the postpartum period, which causes complications. This is indicated by the size of the fundus uterine, which is greater than the normal size and elongated outflow of lochia. One of the non-pharmacological methods for preventing sub uterine involution is postpartum yoga which focuses on physical and breathing exercises, strengthening of the pelvic floor muscles, and relaxation of autosuggestions. The study aimed to analyze the effectiveness of postpartum yoga on uterine involution. A quasi-experimental, pre-test and post-test with the control group was applied in this study. Thirty-eight postpartum women received postpartum yoga as the intervention group. The control group was comprised of 19 women. The gain score of uterine involution in the intervention group was 9.14 ± 1.27 and in the control group 7.20 ± 1.11. The Cohen’s effect size test is 1.63. The result of the mann whitney test showed that there was a significant difference between the intervention group and the control group with p value 0,000. The result of determination (R Square), postpartum yoga had an effect of 40.3% on uterine involution after being controlled simultaneously with parity, frequency of breastfeeding, and anxiety. Postpartum yoga is effective to strengthen the uterine muscles, facilitate blood circulation, and stimulate neurohormonal so it could accelerate uterine involution. Further studies could measure of fundus uterine daily. Future researchers can develop postpartum yoga research with other variables such as anxiety, urinary incontinence, quality of life for postpartum women, and hormonal variables including oxytocin, endorphins, and cortisol. Keywords: postpartum yoga, postpartum period, postpartum exercise, uterine involution

THE EFFECTIVENESS OF ACUYOGA POSTPARTUM ON PRIMIPAROUS POSTPARTUM PAIN WITH PERINEAL TRAUMA Lydia Febrina Sipahutar; Lucky Herawati; Melyana Nurul Widyawati
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Perineal trauma commonly impacts on childbirth women due to laceration or intentional because of an episiotomy. The study aimed to examine the effect of AcuYoga postpartum on decreasing the pain among primiparous postpartum with perineal trauma. A quasi-experimental, pre-test, and post-test design with a non-equivalent control group were applied in this study. Thirty-four samples were allocated to the experimental and control groups. The experimental group received the AcuYoga postpartum, and the control group received the general postnatal exercises. The findings showed that there are significant differences in pain levels among the experimental group who received the program than a control group who receive routine care (p-value<0.05). There are significant differences in pain levels among the experimental group before and after program implementation (p<0.05). Further studies need to examine Acuyoga on other variables such as duration of perineal wound healing, the process of elimination, and clinical biomarkers Keywords: Acuyoga, exercise, primipara, pain, perineal trauma

The Effect of Acuyoga on Fetal Heart among Pregnant Women with Hypertension Hindun Mila Hudzaifah; Melyana Nurul Widyawati; Ta’adi Ta’adi
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Acuyoga is a non-pharmacological therapy that has the benefit of accelerating blood circulation to the fetus. The study aimed to examine the effect of Acuyoga to fetal heart rate among pregnant women with hypertension. We conduct a quasi-experimental, pretest and posttest with control group design. Thirty total was allocated in the experimental and control groups. Each group consisted of 15 respondents. Patients in the experimental group received the Acuyoga postpartum awhile control group received the prenatal yoga. the intervention was carried out twice a week for four weeks with a duration of sixty minutes. The results of the dependent statistical test showed an average Fetal Heart Rate test before intervention in the experimental group of 133.47x/minute and after the intervention was given to 146.27 x/minute increasing of 12.8 x/minute. Independent t-test results obtained p-value 0.015 (<0.050). The size of the Cohen d effect is 0.94, which means that acuyoga is very effective in reducing fetal heart rate. Acuyoga for twice a week for four weeks with a duration of sixty minutes was effective to increase fetal heart rate in pregnant women with hypertension

The hydrogel of Mangosteen Peel (Garcinia Mangostana L.) To Improve Wound in Perineal among Postpartum Ananti Setya Primawati Putri; Melyana Nurul Widyawati; Suryati Kumorowulan
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

This study aimed to examine relationship between age, sex, type of stroke, admission time, frequency of attacks, comorbidities, and muscle strength with functional abilities among stroke patients. A cross-sectional was applied in this study. The findings showed that there was relationship between muscle strength and functional ability among stroke patients. However, there is no relationship between age, type of stroke, commorbidities, and experience of stroke attack with functional ability among stroke patients. Inconclusion stroke is a major cause of functional disorders Keyword: mangosteen peel hydrogel, wound healing, perineal, postpartum women

The Effect of Combination Alkaline Water and Iron Tablets on Improving Hemoglobin Level among Adolescent Kiki Dwi Handayani; Melyana Nurul Widyawati; Ta’adi Ta’adi
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 5 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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Anemia is one of the health problems in Indonesia. It was due to the suboptimal absorption of Fe and increased body acidity. Alkaline water is an alternative to improve hemoglobin levels since it can maximize the absorption of iron and balance the body's acid-base. The study aimed to examine the combination of alkaline water and iron tablets on Increasing the hemoglobin levels. A quasi-experimental study method with pre-test and post-test study with control group design. Forty-two samples were assigned to the intervention group and the control group. The intervention group received a combination of alkaline water with a pH of 9.5 as much as 1 liter and 60 mg iron tablets for 14 days. The control group received 60 mg of iron tablets. The assessment of hemoglobin levels was conducted before and after treatment. The results showed that the combination of alkaline water and iron tablets positively affected the Hb level among adolescents. The results showed that the variety of alkaline water and iron tablets positively affected adolescents' Hb levels. The alkaline water can be proposed as an innovation to increase hemoglobin levels. Further studies are expected to control the socio-cultural factor and food factor. Future researchers can develop studies related to alkaline water by adding other variables, namely blood pH and Malondialdehyde (MDA)

METHODS OF POSTPARTUM BLOOD LOSS MEASUREMENT IN INDONESIA SHOULD BE MODIFIED FOR BETTER ACCURACY: A LITERATURE REVIEW Siska Febrina Fauziah; Melyana Nurul Widyawati; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Assessment of blood loss after delivery is important because intervention in the “golden hour” is crucial to prevent maternal morbidity and mortality. In fact, the biggest obstacle in overcoming postpartum blood loss are symptom recognition, accuracy, and timely diagnosis. Aims: The objective of this study was to analyze the strengths and weaknesses between visual estimation and quantification of blood loss measurements. Methods: Literature review was conducted using the electronic databases Science Direct, Pubmed, and Google Scholar. Measurement of blood loss and postpartum hemorrhage was used as keywords in searching strategy. A total of 23 from 17.200 of publications range from 2010 until May 2017 and presented in English language were included in this review. Results: Many studies show that quantification of blood loss method is better than visual estimation. Visual estimation of blood loss was imprecise, tend to underestimate blood loss, and thus to delay diagnosis of PPH, whilst quantification of blood loss more accurate and objective. Nonetheless, quantification methods not used routinely due to their unavailability, more time consuming, complicated, costly, and analyst workload increases. Conclusions: Modified measurement method and its existing protocol needed to overcome blood loss during postpartum.

COMPARING EFFECTIVENESS OF PALM DATES AND OXYTOCIN MASSAGE IN STIMULATING BREASTMILK PRODUCTION OF POST PARTUM MOTHER Siti Roudhotul Jannah; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: The coverage of exclusive breastfeeding in the world is still low. It is influenced by the limited number of breastfeeding counselors, the lack of education, advocacy and coaching breastfeeding support groups, maternal health and physiological factors (prolactin and oxytocin hormones). Dates contains oxytocin and many chemical elements which are good for breastfeeding mothers. Regular oxytocin massage therapy is also shown to increase the production of the oxytocin hormone. Aims: To compare the effectiveness of palm dates and oxytocin massage in stimulating breastmilk production of postpartum mothers. Methods: it is a literature review study, using keywords breastfeeding, palm dates and oxytocin massage from national and international journals. Results: The results shown that palm date and oxytocin massage have been proven to increase the oxytocin hormone that is influential on the smoothness of breastfeeding in postpartum mothers. Some studies noted that the palm dates contain potuchin hormone that serves spur blood vessel contractions around the breast spurring mammary gland to produce milk. In addition, there is the hormone oxytocin can help stimulating the contractions of the muscles of the uterus to facilitate childbirth. While oxytocin massage can increase milk production and the baby's weight and also to drive a contraction in the veins surround the breast and spurring the milk glands to produce milk. Conclusion: The results of several studies suggest that the oxytocin massage is more effective applied to increase oxytocin than the consumption of palm dates.

THE EFFECT OF ELECTRIC BREAST PUMP IN INCREASING BREASTMILK PRODUCTION Sheyla Najwatul Maula; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Breastfeeding for 2 years has been recommended by WHO and CDC, so that breastfeeding has become an integral part that determines the quality of human resources in the future as well as solutions for social, environmental and the economic problems faced by every nation around the world. This study was conducted as a preliminary study, the first step in the production of portable electric breast pumping equipment. One of the innovations in modifying electric breast pumping equipment that is more useful effective and efficient in various activities. Breast pumping equipment is a step in the transformational breastfeeding process because it can improve breastfeeding sustainability in the activity performed. Aims: To observe the effect of electric breast milk pump to the effectiveness and satisfaction in breast milk production in breastfeeding women in Semarang 2017. Methods: Preliminary study results were tested by statistical analysis test of independent sample T-Test and chi-square. Independent variable in this study is electric breast pump and dependent variables are effectiveness and satisfaction. This study was carried out by testing the electric breast milk Spectra 9+. The data were collected from 10 respondents. Results: The analysis test results showed the significance value P> 0.05 which meant that there was no significant difference between the effectiveness and satisfaction of breast milk production by using the electric breast pump. Conclusion: The electric breast pumping equipment have no effectiveness and satisfaction in milk production. Modification of electric breast milk pumping equipment should be expected to improve the use by postpartum women to breastfeed in various activities.

INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differences between the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better.

THE EFFECT OF IRON POLYMALTOSE COMPLEX TABLET ADMINISTRATION TO INCREASE HEMOGLOBIN LEVEL AMONG PREGNANT WOMEN WITH ANEMIA Cahyaning Puji Astuti; Melyana Nurul Widyawati; Sri Endang Pujiastuti
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Anemia is a major cause of bleeding due to iron deficiency. Iron tablets which contain 60 mg of Ferrous Sulphate and 0.25 mg of folic acid did not show good results in changing the body’s iron level and there are many perceived side effects. However, there is now exists an oral iron tablets in the form of available salt compounds of ferrous fumarate, ferrous sulphate, and ferrous gluconate. These tablets contain iron hydroxide polymaltose complex (III) or better known as IPC (Iron Polymaltose Complex) and have minimal side effects. Aims: To understand the effect of IPC tablets in increasing the hemoglobin level in pregnant women with anemia. Methods: This study used quantitative study with pre-experimental design, or experiments that have not been applied in real terms. This study used non-probability sampling technique and purposive sampling for the selected sample. The sample were 35 people based on the inclusion criteria. The design used was one group pre-test – post-test approach without the control group. The subjects undertook the anemia examination on the first day (pre-test) and afterwards were administered 100mg IPC tablets daily for the next 30 days. In the end of the intervention, the subjects were re-examined and the results were compared (post-test). Results: The study showed that there is a significant increase of hemoglobin level in pregnant women with anemia with p value = 0.023 (p<0.05) after the intervention in the form of IPC tablet administration was conducted for 30 days. Conclusion: The intervention performed in administration of IPC tablets for pregnant women with anemia showed a significant increase of hemoglobin level before and after the provision of IPC tablets.

Co-Authors Ananti Setya Primawati Putri Ayi Tansah Bahiyatun Bahiyatun Cahyaning Puji Astuti Diniyati Diniyati Elisa Ulfiana Fajrin, Rafika Fatatu Malikhah Hana Nur Fa'izah Herinawati Herinawati Herinawati Herinawati Hindun Mila Hudzaifah Holyness Nurdin Singadimedja Ida Ayu Putu Dewi Adnya Suwari Iin Nur Azizah Iksaruddin Iksaruddin Ima Nurapriyanti Ira Pujiani Kiki Dwi Handayani Kusmini Kusmini Lucky Herawati Lutfiana Kusumaningrum Lydia Febrina Nani Yuningsih Novita Nining Anggraini NUR FITRIYAH Osvinarti Osvinarti Putri, Noviyati Rahardjo Rery Kurniawati Danu Iswantoro Rery Kurniawati Danu Iswantoro Sa’adah Mujahidah Sheyla Najwatul Maula Siska Febrina Fauziah Siti Kistimbar Siti Roudhotul Jannah Sri Endang Pujiastuti Suryati Kumorowulan Sutarmi Sutarmi Syafrida Ainur Taryatmo Taryatmo Ta’adi Ta’adi Tecky Afifah Santy Amartha Yuli Suryati

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